CITY OF COVINGTON COMMISSIONER OF THE REVENUE CITYHALL-3331 W. LOCUST STREET P.O. DRAWER 58-COVINGTON, VIRGINIA24426 TELEPHONE: (540) 965-6350+FAXI (540) 965-6365 www.cowingion.va.us YEAR, RETURN OF TANGIBLE PERSONAL PROPERTY & MOBILE HOMES INDIVIDUAL Wero you a rosident of The Cily al Covington on, January1 0 YES "NO; enter date MOVED INTOCity From LOCATION: a NO OR enter date MOVEDI FROM City TOLOCATION. PRIMARY SOCIAL SECURITY NUMBER DATE DUE: SECONDARY SOCIAL SECURITY NUMBER TAXPAYER NAME/ADDRESS (PLEASE CORRECTIFI NECESSARY) Penally for failure tof file a return by due date shown above, shalll be ten percent ofi the tax assessable on such return or ten dollars, whichever is groater; provided! however, that the penalty shall in no case exceed the amount of the tax assessable. ENTER SCHEDULE A YEAR DISPOSAL NOTE: IF YOUI DIDI NOT OWN PROPERTY LISTED ON. JANUARY1 DATE FOR OFFICE CSPOSALI DATE USEONLY PROPERTY DESCRIPTION VEHICLE IDENTIFICATION NUMBER MAKE & MODEL COST LENGTH&! MOBILEHOMES. WIDTH MO. DAY YR: BOATS8 TRAILERS SCHEDULE B YEAR NOTE: ADD ANY VEHICLES, BOATS, BOATTRAILERS, MOBILEHOMES, MOTORCYCLES, OWNED JANUARY 1 AND NOTLISTED ABOVE. ENTER PURCHASE DATE COST LENGTH&) MOBILE HOMES, WIDTH MO. DAY YR. BOATSATRAILERS) PROPERTY DESCRIPTION PURCHASE DATE MAKE & MODEL VEHICLE IDENTIFICATION NUMBER SCHEDULE C DECLARATION OF DO YOU HAVE ANY HEAVY CONSTRUCTION EQUIPMENT, LEASED EQUIPMENT, submitted on this retum and attachments are true, full, and correct to the best of my knowledge and beliel, which he does not believe tol be true and SIGNATURE OF TAXPAYER, OFFICER, AGENT IFYES, PLEASE ATTACHSCHEDULES) FARMI MACHINERY, FARM ANIMALS OR AIRCRAFT? a YES Da NO Icertify that unless otherwise indicated as business use, the vehicles listed herein are for personal use. declare that the statements and figures NOTE It is a misdemeanor. for any person willfully t0 subscribe. a retur (Code of VAS Sec. 58.1-11) DATE TAXPAYER correct as to every material matter. Telephone Numbers: Home - Work